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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">An inquiry into the uneven distribution of women’s HIV infection in rural Malawi</title><author><name sortKey="Poulin, Michelle" sort="Poulin, Michelle" uniqKey="Poulin M" first="Michelle" last="Poulin">Michelle Poulin</name><affiliation><nlm:aff id="A1">Department of Sociology, 1155 Union Circle #311157, University of North Texas, Denton, TX, USA, 76203-1157</nlm:aff></affiliation></author><author><name sortKey="Muula, Adamson S" sort="Muula, Adamson S" uniqKey="Muula A" first="Adamson S." last="Muula">Adamson S. Muula</name><affiliation><nlm:aff id="A2">Department of Community Health, University of Malawi, College of Medicine, Blantyre, Malawi.<email>muula@email.unc.edu</email></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28936119</idno><idno type="pmc">5605142</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5605142</idno><idno type="RBID">PMC:5605142</idno><idno type="doi">10.4054/DemRes.2011.25.28</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">001976</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001976</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">An inquiry into the uneven distribution of women’s HIV infection in rural Malawi</title><author><name sortKey="Poulin, Michelle" sort="Poulin, Michelle" uniqKey="Poulin M" first="Michelle" last="Poulin">Michelle Poulin</name><affiliation><nlm:aff id="A1">Department of Sociology, 1155 Union Circle #311157, University of North Texas, Denton, TX, USA, 76203-1157</nlm:aff></affiliation></author><author><name sortKey="Muula, Adamson S" sort="Muula, Adamson S" uniqKey="Muula A" first="Adamson S." last="Muula">Adamson S. Muula</name><affiliation><nlm:aff id="A2">Department of Community Health, University of Malawi, College of Medicine, Blantyre, Malawi.<email>muula@email.unc.edu</email></nlm:aff></affiliation></author></analytic><series><title level="j">Demographic research</title><idno type="eISSN">1435-9871</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">Ecological comparisons in sub-Saharan Africa show that HIV prevalence is lower where men are generally circumcised than where they are not. Randomized controlled trials have found a 50–60% reduction in HIV acquisition for newly circumcised men. Yet in Malawi, HIV prevalence is highest in several districts in the Southern Region, where men are commonly circumcised. We draw upon a population-based sample of ever-married women to explore this unexpected finding. Our data show that in the southern district of Balaka, women with circumcised spouses have a lower probability of HIV infection compared to those with uncircumcised spouses. However, the strength of this effect is conditioned by specific marital histories: among women with circumcised spouses, those with multiple marriages and an absence of spousal co-residence have a higher probability of HIV infection than do those married once and those who have never lived apart from their spouses. The history of marital turnover and female-headed households among the ethnic groups of Balaka offer insight into the district’s elevated HIV levels.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">100964435</journal-id><journal-id journal-id-type="pubmed-jr-id">29912</journal-id><journal-id journal-id-type="nlm-ta">Demogr Res</journal-id><journal-id journal-id-type="iso-abbrev">Demogr Res</journal-id><journal-title-group><journal-title>Demographic research</journal-title></journal-title-group><issn pub-type="epub">1435-9871</issn></journal-meta><article-meta><article-id pub-id-type="pmid">28936119</article-id><article-id pub-id-type="pmc">5605142</article-id><article-id pub-id-type="doi">10.4054/DemRes.2011.25.28</article-id><article-id pub-id-type="manuscript">NIHMS867178</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>An inquiry into the uneven distribution of women’s HIV infection in rural Malawi</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Poulin</surname><given-names>Michelle</given-names></name><role>Assistant Professor</role><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Muula</surname><given-names>Adamson S.</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Sociology, 1155 Union Circle #311157, University of North Texas, Denton, TX, USA, 76203-1157</aff><aff id="A2"><label>2</label>Department of Community Health, University of Malawi, College of Medicine, Blantyre, Malawi.<email>muula@email.unc.edu</email></aff><author-notes><corresp id="FN1">Corresponding author: Michelle Poulin (<email>Michelle.Poulin@unt.edu</email>)</corresp></author-notes><pub-date pub-type="nihms-submitted"><day>26</day><month>4</month><year>2017</year></pub-date><pub-date pub-type="epub"><day>21</day><month>12</month><year>2011</year></pub-date><pub-date pub-type="ppub"><season>Jul-Dec</season><year>2011</year></pub-date><pub-date pub-type="pmc-release"><day>19</day><month>9</month><year>2017</year></pub-date><volume>25</volume><fpage>869</fpage><lpage>902</lpage><pmc-comment>elocation-id from pubmed: 10.4054/DemRes.2011.25.28</pmc-comment>
<abstract><p id="P1">Ecological comparisons in sub-Saharan Africa show that HIV prevalence is lower where men are generally circumcised than where they are not. Randomized controlled trials have found a 50–60% reduction in HIV acquisition for newly circumcised men. Yet in Malawi, HIV prevalence is highest in several districts in the Southern Region, where men are commonly circumcised. We draw upon a population-based sample of ever-married women to explore this unexpected finding. Our data show that in the southern district of Balaka, women with circumcised spouses have a lower probability of HIV infection compared to those with uncircumcised spouses. However, the strength of this effect is conditioned by specific marital histories: among women with circumcised spouses, those with multiple marriages and an absence of spousal co-residence have a higher probability of HIV infection than do those married once and those who have never lived apart from their spouses. The history of marital turnover and female-headed households among the ethnic groups of Balaka offer insight into the district’s elevated HIV levels.</p></abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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